DR. VAN A II WILLIS (DO) – Internal Medicine Physician, NPI 1356587554

DR. VAN A II WILLIS (DO) is a healthcare provider. based in Pensacola, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 2006-01804 (NC). The NPI Number for DR. VAN A II WILLIS (DO) is 1356587554

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. VAN A II WILLIS (DO)
NPI
1356587554
Phone
(850) 452-2933
Address
220 HOVEY RD
Enumeration Date
18 December 2008
Last Update Date
13 August 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
8507773668
Graduation Year
2005 (21 years ago)
PAC ID
8325285372
Group Practice PAC ID
2769616762
Professional Enrollment ID
I20210817001634
Address ID
FL325063228PE4850XHWYX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

12,378 INTERNAL MEDICINE in FL

Provider Addresses for DR. VAN A II WILLIS (DO)

  • 220 HOVEY RD

    PENSACOLA, FL 325081044

    Phone: (850) 452-2933

    Type: Mailing

  • 6000 W HIGHWAY 98

    PENSACOLA, FL 325121044

    Phone: (850) 505-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210817001634IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes5252$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen4040$0
99213Established patient office or other outpatient visit, 20-29 minutes3935$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 32508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769616762View full group profile
NameSpecialtyState
Physician AssistantFL
Emergency MedicineGA
Nurse PractitionerFL
Family PracticeGA
Nurse PractitionerAL
Physician AssistantGA
-FL
-KY
Nurse PractitionerFL
Nurse PractitionerAZ

Reviews

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Frequently asked questions

What is DR. VAN A II WILLIS (DO)'s NPI number?
DR. VAN A II WILLIS (DO)'s NPI is 1356587554 — the number used across U.S. healthcare to identify this provider.
Would DR. VAN A II WILLIS (DO) appear as active to a payer?
You can treat DR. VAN A II WILLIS (DO) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. VAN A II WILLIS (DO)?
DR. VAN A II WILLIS (DO) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. VAN A II WILLIS (DO) located near Pensacola?
DR. VAN A II WILLIS (DO) currently maps to Pensacola, Florida in this extract.
Does DR. VAN A II WILLIS (DO) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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